2019 Summer Sailing Registration Form
Please note that a separate form is needed for each child.

Use this form to enroll in any of our Summer Classes, including All Day and Full Summer Options. Completing this form is only the first step of registration.

EYC Club Members will be able to charge their club account via this form.
Non EYC Club Members MUST click on the paypal payment link at the end of this form.

If your sailor is enrolled in the 2019 Year Round program, this class will be paid for via that program. You still must register your sailor for the individual class.

Please note that registration is not complete until we receive payment.
Cancellations must be made 10 days or more before class starts in order to process a refund.

In Which Session(s) Are You Enrolling? *
You may choose multiple sessions or select the "Full Summer Option"
FULL DAY Class Options (8:30-4:30PM) $900 Members, $1,200 Non Members *
AM Class Options (8:30-12PM) $420 Members, $580 Non Members *
Lunch Supervision (12-1PM) BYO Lunch ($105 Members, $115 Non Members) *
PM Class Options (1-4:30PM) $420 Members, $580 Non Members *
After Care Supervision (4:30-6PM) $165 Members, $185 Non Members *
Would you like to pre-order a 2019 Jr. Sailing T-Shirt? Price: $16.35 *
You can always order one later if you change your mind.
Would you like to pre-order a 2019 Jr. Sailing 4th of July T-Shirt? Price: $16.35 *
You can always order one later if you change your mind.
Would you like to order "Learn Sailing Right" published by US Sailing? Price: $10.00 (Retails for $17.95) *
This book is great for beginner sailors who are visual learners or want to study outside of class time. Our curriculum is based off US Sailing's LSR books, so they make an excellent companion to any of our beginning courses..
General Contact Information
Participant's Last Name *
Your answer
Participant's First Name *
Your answer
Participant's Birthday *
What grade in school did your sailor just finish? *
Your answer
Which high school will/does your sailor attend? *
If you don't know yet, enter "unsure." We're always on the lookout for more high school sailors during the school year!
Your answer
Full Name of Parent or Guardian *
Your answer
Primary Email Address *
Your answer
Secondary Email Address
Your answer
Sailor's Email Address
Your answer
Street Address *
Please include City, State, and ZIP Code
Your answer
Home Phone *
Your answer
Daytime/Work Phone *
Your answer
Please list any important medical conditions or other considerations we should know about *
(allergies, if sailor should wear helmet, diabetes, etc)
Your answer
Emergency Contact Info
Emergency Contact Name *
Please list a contact other than the parent/guardian above
Your answer
Emergency Contact Phone Number *
Your answer
Authorized Pick Up List *
Please share the names of all the people authorized to drop off and pick up your child from camp.
Your answer
You are NOT yet finished! ...Please read CAREFULLY!
We must receive payment in order to process your registration. We cannot guarantee a spot for your child in the program until payment is complete. Upon submission of this form you MUST click the payment link which appears in the confirmation message.
EYC Member? Please enter EYC Member # Below
We will process payment via your club account. You are finished with registration!
Your answer
Liability Waiver *
The undersigned parents or legal guardians of the sailor I'm registering for class (Child) , request that Child be allowed to participate at Encinal Yacht Club in any Junior Activity (the “Activities”). This agreement shall remain in effect until Encinal Yacht Club Junior Sailing Program receives written notice of the cancellation of the consent or until the end of the activities described above. In return for the child being permitted to take part in the Activities and to use the facilities and property of Encinal Yacht Club each of us makes the following promises and warrants the truth of the following facts: 1) I / We am/are familiar with the programs included in the Activities, and understand officers and employees of Encinal Yacht Club are available to discuss the activities if I/we should wish additional information. I/we also understand we/I am/are solely responsible for the arrival and departure of Child at the beginning and end of each day's activity. I/We will not allow Child to remain on the premises of Encinal Yacht Club after each day's program without appropriate supervision or the written permission of the Yacht Club. I/We agree Encinal Yacht Club will have no responsibility for the supervision of Child at times other than during the scheduled activities. I/We will inform Child that he/she is expected to cooperate with, and follow the directions of, the persons in charge of the activities and to act in a manner consistent with the spirit of good sportsmanship and respect for the rights of others. 2) Child is in good health, and I/we know of no reason why he/she would be incapable of participating in the Activities. Child knows how to swim. I/We will immediately notify the designated Encinal Yacht Club supervisor, if a change in Child's health or other condition would affect Child's ability to participate in the Activities. 3) WAIVER OF LIABILITY I/We waive and release any right I/we, my/our heirs, distributees, guardians, legal representatives and assigns may have or acquire to make a claim against, sue, attach the property of or prosecute Encinal Yacht Club or any of its members, directors, officers, agents, employees and affiliated organizations (herein referred to as the “Releasees") for monetary damages caused by injury to Child or damage to the property of Child or myself arising from Child's participation in the Activities and use of the facilities and property of Encinal Yacht Club, whether or not the injury or damage results from the negligence or other action, except intentional acts, of any of the Releasees. 4) ASSUMPTION OR RISK I/We am/are aware that the activities may involve maneuvering a boat or other watercraft on deep waters in potentially hazardous conditions which may include, among other things, strong wind and high waves, sudden and unexpected immersion in deep waters and collision with other watercraft or stationary objects such as docks, pilings and buoys. With knowledge of the dangers involved, I/We voluntarily ask that Child be allowed to take part in the activities. I/WE ACCEPT ANY AND ALL RISKS TO MYSELF AND CHILD OF INJURY, DEATH AND PROPERTY DAMAGE ARISING FROM PARTICIPATION IN THE ACTIVITIES AND THE USE OF THE FACILITIES AND PROPERTY OF ENCINAL YACHT CLUB, WHETHER OR NOT CAUSED BY THE NEGLIGENCE OR OTHER ACTION, EXCEPT INTENTIONAL ACTS, OF ANY OF THE RELEASEES. 5) INDEMNITY AGREEMENT I agree to indemnify and hold the Releasees harmless from any loss, liability, damage or cost, including reasonable attorneys fees, they may incur due to my child's participation in the activities and use whether or not such loss, liability, damage or cost results from the negligence or other action, except intentional acts, of any of the releases. I/WE HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I/WE AM/ARE AWARE THE AGREEMENT INCLUDES A WAIVER OF LIABILITY, AN ASSUMPTION OF RISK AND AN AGREEMENT BY ME/US TO INDEMNIFY THE RELEASEES, AND I/WE SIGN IT OF MY/OUR OWN FREE WILL.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service